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201004928 <br />FINANCING STATEMENT ADDENDUM <br />FALLOW INSTRUCTIONS (front and back) GAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />4 <br />{ OR <br />96. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME,SUFFIX <br />NOLTE SAMUEL M <br />10. MISCELLANEOUS <br />24343202-NE-557 <br />19877 AQUA FINANCE, <br />File with: CC NE Hall County Register of Deeds, NE MBCS000057513 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only one name (11a or 11 b) - do not abbreviate or combine names <br />11a. ORGANIZATION'S NAME <br /> 11b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NgME SUFFIX <br />11 c. MAILING ADDRESS CITY STATE POSTAL CDDE COUNTRY <br />11d. SEE INSTRUCTION DD'L INFO RE 11e. TYPE OF ORGANIZATION t if. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, iF any <br /> RGANIZATION <br /> EBTOR <br />NONE <br />1z ^ AD <br />O <br />' <br />^ <br />' <br />. DITI <br />NAL SECURED PARTY <br />S qr <br />ASSIGNOR S/P <br />s NA ME -insert only one name (12a pr 12b) <br /> 12a. QRGANIZATION'S NAME <br />OR <br /> 12b. INDIVIDUAL'S LAST NAME ~ FIRST NAME MIDDLE NAME SUFFIX <br />12c. MAILING ADDRESS CITY STATE POSTAL CDDE COUNTRY <br />13. This FINANCING STATEMENT Covers ^ timber lp be cut or ^ as-extracted 16. Additional collateral description: <br />collateral or is filed as a ~ fixture filing. <br />14. Description of real estate: <br />Description: WHEELER & BENNETT'S SECOND ADD LT <br />4 BLK 62 APN 400124106 ALT APN <br />3315-00-0-16040-062-0004 SUBD WHEELER & <br />BENNETTS ADD 02 MUNIC\TWNSHP GRANp ISLAND 2 <br />CENSUS TRACT\BLOCK 2.0012 LEGAL LOT 4 LEGAL <br />BLOCK 62 <br />15. Name and address of a RECDRD QWNER ofabove-described real estate <br />(if Debtor does not have a record interest): <br /> 17. Check o~ If applicable and check only one bpx. <br /> Debtor is a~ Trust or ^Trustee acting with respect to property held in trust or ^ Decedent's Estate <br /> 18. Check gnly If applicable and check gnly, one box. <br /> Debtor Is a TRANSMITTING UTILITY <br /> Filed in cpnnection with aManufactured-Home Transaction <br /> Filed in Connection with aPublic-Finance Transaction <br />FILING OFFICE GOPY -NATIONAL UCC FINANCING STATEMENT ApDENDUM (FORM UGC1Ad) (REV. 05!21109) rrepared ny c i uen solutions. P.o. Box 29071 <br />Glendale, GA 912o~9071 Tel (Bp0) 331.3282 <br />